0001437749-18-010827.txt : 20180529 0001437749-18-010827.hdr.sgml : 20180529 20180529152104 ACCESSION NUMBER: 0001437749-18-010827 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170403 FILED AS OF DATE: 20180529 DATE AS OF CHANGE: 20180529 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Van den Bol Emile CENTRAL INDEX KEY: 0001500964 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29599 FILM NUMBER: 18864152 MAIL ADDRESS: STREET 1: C/O PATRIOT NATIONAL BANCORP, INC. STREET 2: 900 BEDFORD STREET CITY: STAMFORD STATE: CT ZIP: 06901 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATRIOT NATIONAL BANCORP INC CENTRAL INDEX KEY: 0001098146 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 061559137 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 900 BEDFORD ST CITY: STAMFORD STATE: CT ZIP: 06901 BUSINESS PHONE: 2033247500 4 1 rdgdoc.xml FORM 4 X0306 4 2017-04-03 0001098146 PATRIOT NATIONAL BANCORP INC PNBK 0001500964 Van den Bol Emile C/O PATRIOT NATIONAL BANCORP, INC. 900 BEDFORD STREET STAMFORD CT 06901 1 Common Stock 2017-04-03 4 A 0 1271 0 A 21725 D Common Stock 2018-04-02 4 A 0 1031 0 A 22756 D On April 3, 2017, pursuant to a Restricted Stock Agreement, the Reporting Person was granted 1,271 shares of the Issuer's common stock which vest annually in equal installments over four years. On April 2, 2018, pursuant to a Restricted Stock Agreement, the Reporting Person was granted 1,031 shares of the Issuer's common stock which vest annually in equal installments over four years. As of the date of this report, the Reporting Person owns a total of 22,756 shares of common stock. /s/ Emile Van den Bol 2018-05-29